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Should I treat my gummy smile before or after braces?

Braces & Invisalign Cosmetic Dentistry

I am unhappy with my smile because it shows a lot of gums. I would like to know when is the best time for me to treat my gummy smile (before wearing braces or after)?

DOCTOR’S ANSWER (2)

Hi

To answer your question, first we will need to determine what is the cause of your gummy smile.

Gummy smile can be caused by:

1) Abnormal eruption of upper teeth

2) Upper jaw grows excessively in a downward manner

3) The muscle that is controlling the movement of your upper lip is hyperactive

4) Short upper lip

5) Excessive gum (Short height of tooth)

Depending on the cause of the gummy smile, the treatment will be different. Some of these gumminess can be reduced through braces while others will require procedures such as gum recontouring, jaw surgery or botox, done after or in conjunction with the braces

I would recommend that you arrange for a consultation with an orthodontist to assess your condition so that a suitable treatment plan can be determined.

Dr Enrica Sham

1037 views 7 Jun 2018

Thanks for the D2D. It is wise to consult both an Orthodontist and a Periodontist before treatment is started so both specialists are in agreement with the treatment plan.

Usually, braces (Orthodontic treatment) is done first as it is sometimes possible to intrude the teeth with braces and reduce the height of gum display.

Also, if braces are done first, sometimes we need to remove less bone and gums during gummy smile surgery. Also, the gums levels will move during braces so it would be much better to level off the gums when the teeth have stopped shifting and are in their final position.

So in general, it is better to do braces first before gum surgery! Although there are exceptions to the rule.

783 views 18 Sep 2018
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